| NPI | 1700159126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEFYLON VELVETTE CAMERON Clinic Director 404-325-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 111N00000X Chiropractor | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2013-06-13 |